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From Wikipedia: Over 90% of Canadians live within 100 miles of the US border.
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Population:
CANADA: slightly less than 33.5 million folks there.
USA: 313.9 million (2012)--almost 10 TIMES the population.
California: 38 million--California has more people than ALL of Canada.
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Land area:
CANADA: 9.98 million square kilometers or 3.8 million square miles.
USA: 9.827 million square kilometers or 3.794 million sq miles--SLIGHTLY smaller.
California: 163,696 square miles or 423,970 square miles--TINY compared to Canada or the rest of the USA
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SO, Canada SHOULD be doing very well.
And since they haven't changed land size and population in many, many centuries, Obamacare can't be blamed for the USA'S failures, compared to Canada's successes.